A nurse is caring for a preschooler who has a terminal illness. Which of the following findings should the nurse expect?
Feels alienated from their friends
Understands that death is inevitable
Believes that death is temporary
Expresses anxiety about physical changes
The Correct Answer is C
A. Feels alienated from their friends: Preschoolers typically do not have a fully developed understanding of illness or death, so feelings of alienation from friends are not an expected developmental response. Their social awareness is limited, and they are more focused on immediate experiences than abstract concepts like mortality.
B. Understands that death is inevitable: Preschoolers generally lack the cognitive development to grasp the permanence of death. They often view death as reversible or temporary, so expecting them to understand its inevitability does not align with typical developmental stages.
C. Believes that death is temporary: At the preschool age, children often see death as a temporary state, similar to sleeping or going away. This belief is consistent with their developmental stage and limited understanding of abstract concepts such as life and mortality.
D. Expresses anxiety about physical changes: While some preschoolers may notice physical changes related to illness, their understanding of these changes is limited, and they are unlikely to articulate anxiety about bodily transformations in the context of terminal illness. Their concerns are more concrete and immediate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Constipation: Constipation is not typically associated with nephrotic syndrome. While toddlers may experience constipation for various reasons, it does not indicate the protein loss, edema, or fluid retention characteristic of nephrotic syndrome.
B. Irritability: Irritability can be a nonspecific symptom in toddlers and may occur for many reasons, such as fatigue or discomfort, but it is not a hallmark sign of nephrotic syndrome and does not reflect the primary pathophysiology.
C. Increased urinary output: Nephrotic syndrome is generally associated with normal or decreased urinary output due to fluid retention and edema. Increased urine output is not consistent with the fluid shifts and hypoalbuminemia seen in this condition.
D. Increased abdominal girth: Increased abdominal girth is a key indicator of nephrotic syndrome in toddlers, resulting from fluid accumulation (ascites) due to hypoalbuminemia and edema. Monitoring for abdominal swelling helps identify disease onset or exacerbation.
Correct Answer is A
Explanation
A. Use a bulb syringe to suction the nares: Infants with bronchiolitis often have nasal congestion that can interfere with breathing and feeding. Using a bulb syringe to gently suction the nares helps maintain airway patency and promotes effective oxygenation, which is a key nursing intervention for this age group.
B. Administer a meningococcal vaccine upon admission: Meningococcal vaccination is not indicated for the acute management of bronchiolitis. Immunizations are typically given according to routine schedules and are not part of emergency care for viral respiratory infections.
C. Place the infant in a room with negative-pressure airflow: Negative-pressure rooms are primarily used for airborne infections such as tuberculosis. Bronchiolitis is spread through droplet transmission, so standard or contact precautions are sufficient, making negative-pressure rooms unnecessary.
D. Initiate IV antibiotic therapy: Bronchiolitis is most commonly caused by viral pathogens, such as respiratory syncytial virus (RSV), and does not require antibiotics unless there is a secondary bacterial infection. Routine IV antibiotic therapy is not indicated for uncomplicated bronchiolitis.
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